Abstract
Respiratory muscle weakness can be one of the aftereffects due to cervical or high thoracic spinal cord injury (SCI). This problem affects the organism's capacity to maintain the correct levels of oxygen, and the cough events start to be difficult to perform. Studies have demonstrated that the application of synchronized Transcutaneous Functional Electrical Stimulation (TFES) to the respiratory muscles, diaphragm and abdomen, enhanced their resistance and strength. So, this study aims to evaluate if electromyography (EMG) sensors positioned on the sternocleidomastoid (SCM), omohyoid (OM), and external oblique (EO) muscles can be used to help in automatic cough prediction for a future TFES synchronization system. Voluntary coughs of nineteen volunteers were recorded using three EMG sensors and their potential use in cough prediction was evaluated. Results show that EO muscle presents better results (55 ± 31.37 V) in amplitude variations compared to the other ones. However, it is still not possible to standardize one single muscle for prediction due to the variation of activation in each person. Also, the use of EMG sensors can contribute significantly to cough prediction systems considering the muscle response can be perceived well before the sound.
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References
Stanic U, Kandare F, Jaeger R et al (2000) Functional electrical stimulation of abdominal muscles to augment tidal volume in spinal cord injury. IEEE Trans Rehabil Eng 8:30–34
Costa V (2005) Efeito do uso da cinta abdominal elástica na função respiratória de indivívuos lesados medulares na posição ortostática. Universidade de São Paulo, Brazil
Cheng PT, Chen CL, Wang CM et al (2006) Effect of neuromuscular electrical stimulation on cough capacity and pulmonary function in patients with acute cervical cord injury. J Rehabil Med 38:32–36
Gollee H, Hunt K, Allan D et al (2007) A control system for automatic electrical stimulation of abdominal muscles to assist respiratory function in tetraplegia. Med Eng Phys 29:799–807
Wong S, Shem K, Crew J (2012) Specialized respiratory management for acute cervical spinal cord injury: a retrospective analysis. Top Spinal Cord Inj Rehabil 18(4):283–290
Gollee H, Hunt K, Fraser M et al (2008) Abdominal stimulation for respiratory support in tetraplegia: a tutorial review. J Autom Control 18(2):85–92
Pavlovic D, Wendt M (2003) Diaphragm pacing during prolonged mechanical ventilation of the lungs could prevent from respiratory muscle fatigue. Med Hypotheses 60(3):398–403
Cuello A, Aquim E, Cuello G (2013) Músculos ventilatórios –biomotores da bomba respiratória, avaliação e tratamento. Editora Andreoli, Brazil, São Paulo
Ávila J (2001) O emprego da estimulação elétrica transcutânea no tratamento da disfunção diafragmática. Centro Federal de Educação Tecnológica do Paraná, Curitiba, Brazil
McCaughey E (2014) Abdominal functional electrical stimulation to improve respiratory function in acute and sub-acute tetraplegia. University of Glasgow, UK
Spivak E, Keren O, Niv D et al (2007) Electromyographic signal-activated functional electrical stimulation of abdominal muscles: the effect on pulmonary function in patients with tetraplegia. Spinal Cord 45(7):491–495
McCaughey E, McLean A, Allan D et al (2016) Abdominal functional electrical stimulation to enhance mechanical insufflation-exsufflation. J Spinal Cord Med 39(6):720–725
Nohama P, Jorge R, Valenga M (2012) Effects of transcutaneous diaphragmatic synchronized pacing in patients with chronic obstructive pulmonary disease (COPD). Rev Bras Eng Bioméd 28(2):103–115
Jorge R (2009) Effects of the transcutaneous synchronous diaphragmatic pacing in moderate and severe chronic obstructive pulmonary disease (COPD). Pontificia Universidade Católica do Paraná, Curitiba, Brazil
Silverthorn D (2010) Mecânica da respiração. Fisiologia humana: uma abordagem integrada, 5th edn. Porto Alegre, Artmed, Brazil, pp 569–591
McCool F (2006) Global physiology and pathophysiology of cough: ACCP evidence-based clinical practice guidelines. Chest 129:48–53
Kohan E, Wirth G (2014) Anatomy of the neck. Clin Plast Surg 41:1–6
LoMauro A, Aliverti A (2016) Physiology of respiratory disturbances in muscular dystrophies. Breathe 12(4):318–327
Castro H, Resende L, Bérzin F et al (1999) Electromyographic analysis of the superior belly of the omohyoid muscle and anterior belly of the digastric muscle in tongue and head movements. J Electromyogr Kinesiol 9(3):229–232
Fontana G, Lavorini F (2006) Cough motor mechanisms. Respir Physiol Neurobiol 152(3):266–281
De Troyer A, Kirkwood P, Wilson T (2005) Respiratory action of the intercostal muscles. Physiol Rev 85(2):717–756
Ratnovsky A, Elad D, Halpern P (2008) Mechanics of respiratory muscles. Respir Physiol Neurobiol 163(1–3):82–89
LoMauro A, Aliverti A (2019) Respiratory muscle activation and action during voluntary cough in healthy humans. J Electromyogr Kinesiol 49:102359
Vizel E, Yigla M, Goryachev Y et al (2010) Validation of an ambulatory cough detection and counting application using voluntary cough under different conditions. Cough 6:3
Drugman T, Urbain J, Bauwens N et al (2013) Objective study of sensor relevance for automatic cough detection. IEEE J Biomed Heal Informatics 17(3):699–707
Amoh J, Odame K (2015) DeepCough: a deep convolutional neural network in a wearable cough detection system. IEEE Biomed Circ Syst Conf Atlanta GA 2015:1–4
Acknowledgements
The authors thank CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior) and CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico), Brazil, for scholarships and financial support.
The author TDC thanks for the scholarship received from CAPES for the PDSE program (process number: 88881.131558/2016-01).
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The authors declare that they have no conflict of interest.
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Costa, T.D., Zanella, T.Z., Cristino, C.S., Druzgalski, C., Nogueira-Neto, G.N., Nohama, P. (2022). Analysis of Respiratory EMG Signals for Cough Prediction. In: Bastos-Filho, T.F., de Oliveira Caldeira, E.M., Frizera-Neto, A. (eds) XXVII Brazilian Congress on Biomedical Engineering. CBEB 2020. IFMBE Proceedings, vol 83. Springer, Cham. https://doi.org/10.1007/978-3-030-70601-2_113
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DOI: https://doi.org/10.1007/978-3-030-70601-2_113
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